Individual
KANDACE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(833) 574-2273
Mailing address
18427 COLTMAN AVE, CARSON, CA 90746-1739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20026
CA
Other
Enumeration date
10/23/2019
Last updated
10/25/2024
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